BRADLEY JOEL TAYLOR – Optometrist, NPI 1508360553

BRADLEY JOEL TAYLOR is a healthcare provider. based in Fayetteville, Arkansas. specializing in OPTOMETRY. They hold a License No. 2785 (AR). The NPI Number for BRADLEY JOEL TAYLOR is 1508360553

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY JOEL TAYLOR
NPI
1508360553
Phone
(479) 444-5093
Address
1100 N COLLEGE AVE
Enumeration Date
22 March 2018
Last Update Date
29 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4794422020107
Graduation Year
2018 (8 years ago)
PAC ID
9638402928
Group Practice PAC ID
5395713382
Professional Enrollment ID
I20190530002612
Address ID
AR727034096FA594XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

422 OPTOMETRY in AR

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Provider Addresses for BRADLEY JOEL TAYLOR

  • Veterans Health Care System of the Ozarks, 1100, North College Avenue, Evelyn Hills Shopping Center, Fayetteville, Washington County, Arkansas, 72703, United States

    FAYETTEVILLE, AR 727031944

    Phone: (479) 444-5093

    Fax: (479) 587-6105

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $263.

Total Amount is formed as General ($263) + Research ($0) + Ownership ($0) = $263.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Glaukos Corporation ($112).

Total Amount

$263

General + Research + Ownership

Payments

9

Total payment records

General Amount

$263

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190530002612IOptometryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system747735$0
99213Established patient office or other outpatient visit, 20-29 minutes348244$0
92133Imaging of optic nerve171168$0
92134Imaging of retina161146$0
99214Established patient office or other outpatient visit, 30-39 minutes111106$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395713382View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAR
O P T O M E T R YAR
O P T O M E T R YAR
-AR
O P H T H A L M O L O G YOK
O P T O M E T R YAR
O P H T H A L M O L O G YAR

Reviews

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Frequently asked questions

Can I use this page to confirm BRADLEY JOEL TAYLOR's NPI?
Yes. BRADLEY JOEL TAYLOR is listed with NPI 1508360553 in the public NPI dataset.
Does CMS list BRADLEY JOEL TAYLOR as active?
Yes — BRADLEY JOEL TAYLOR is active in the NPI listing used on this page.
What is BRADLEY JOEL TAYLOR's primary classification?
Optometrist is the headline specialty for BRADLEY JOEL TAYLOR here. Clinical services aligned with this taxonomy classification.
What area does BRADLEY JOEL TAYLOR serve?
BRADLEY JOEL TAYLOR's listing highlights Fayetteville, Arkansas; more addresses can appear in NPPES.
Is the information about BRADLEY JOEL TAYLOR up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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